Open AccessPILONIDAL SINUS
Author(s) -
Faisal Bilal Lodhi,
M. Najeeb Shafiq,
Saira Ijaz,
Riaz Hussain
Publication year - 2006
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2006.13.03.4994
Subject(s) - medicine , surgery , scars , sinus (botany) , pilonidal disease , randomized controlled trial , botany , biology , genus
Background: Pilonidal sinus is a common chronic disease of thesacrococcygeal region. The treatment for a pilonidal sinus varies according to the clinical presentation of the disease.Although many surgical methods have been suggested, an ideal method is still lacking because of high recurrencerates. Setting: Surgical Unit-II, Allied Hospital, PMC, Faisalabad. Material and Methods: This prospective studyincludes 30 patients who were treated with the use of a rhomboid excision and Limberg flap closure for chronic andrecurrent sacrococcygeal pilonidal sinus. The follow-up period ranged from 04 to 08 months. Results: The meanhospital stay was 03 days (range, 03-08 days) and the mean time to return to work was 15 days (range, 12-26 days).Early wound complications were encountered in 03 patients. No recurrence was noted on maximum of 08 months offollow-up. Nine patients had numbness at the operation site and 10% were not pleased with cosmetic appearance ofthe scars. Conclusions: The results favor rhomboid excision and Limberg flap closure in the treatment ofsacrococcygeal pilonidal sinus, especially in recurrent cases and in patients with extensive involvement. Low recurrencerates, shorter hospital stay, and time off from work may outweigh the disadvantages related to unfavorable cosmeticappearance.